Organization
SHANEKOR LLC
Active
Other names
Canyon Cove Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KORDINE COTTAM (ADMINISTRATOR)
(801) 783-6499
Entity
Organization
Contact information
Practice address
1027 E 800 N, OREM, UT 84097-4313
(801) 783-6499
Mailing address
1027 E 800 N, 1045 E. 800 N., OREM, UT 84097-4313
(801) 783-6499
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
2008-ALI-76697
UT
Other
Enumeration date
01/29/2009
Last updated
01/29/2009
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